Paediatric Surgery

Question 1

Surgical Mx of biliary atresia

Answer 1

Kasai procedure (Roux-en-Y portojejunostomy)

Question 2

Tx malrotation with volvulus

Answer 2

Ladd’s procedure

Question 3

Dx of Hirschprung’s disease

Answer 3

full thickness rectal biopsy

Question 4

Associations of oesophageal atresia

Answer 4

VACTERL
tracheooesophageal fistula
poyhydramnios

Question 5

Surgical tx of paediatric inguinal hernia

Answer 5

Herniotomy without mesh

Question 6

What is Perthes disease?

Answer 6

Idiopathic avascular necrosis of the femoral epiphysis of the femoral head

Question 7

Staging system for Perthes disease

Answer 7

Catterall staging

Question 8

Congenital undescended testes failed to reach bottom of scrotum by …. of age

Answer 8

3 months

Question 9

Location of opening of urethral meatus in hypospadias

Answer 9

Distal ventral surface of penis

Question 10

2nd week of life, bloody diarrhoea, premature baby, abdo distension, vomiting

Answer 10

Necrotising enterocolitis

Question 11

Intestinal malrotation with volvulus surgical tx

Answer 11

Ladd’s procedure

Question 12

Paediatric neonatal maintenance fluid requirements

Answer 12

From birth to day 1: 50-60 ml/kg/day.
Day 2: 70-80 ml/kg/day.
Day 3: 80-100 ml/kg/day.
Day 4: 100-120 ml/kg/day.
Days 5-8: 120-150 ml/kg/day

Question 13

Paediatric maintenance fluid requirements

Answer 13

first 10kg: 100mL/kg/day
\+
10-20kg: 50mL/kg/day
\+
every kg over 20kg: 20mL/kg/day

Question 14

Locations of ectopic testes (4)

Answer 14

superficial inguinal pouch
base of penis
femoral triangle
perineum